Injection, inclisiran, 1 mg at UPMC Chautauqua
207 Foote Avenue, Jamestown, NY · UPMC · · NPI 1770573222
$22.80
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
?
What you pay up front if you don't use insurance.
$38.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
?
The hospital's undiscounted list price — almost no one pays this.
$11.86 with Independent Health vs $34.20 with Affordable First Health — same scan, same building. Share
Negotiated rates by payer
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Independent Health | Commercial | $11.86 | ↓ -48% |
| Independent Health | Medicare Advantage | $11.86 | ↓ -48% |
| Univera | Medicare Advantage | $11.94 | ↓ -48% |
| UHC Medicaid NY | Medicaid | $12.06 | ↓ -47% |
| BCBS of Western NY | Essential Plans 3&4 | $12.06 | ↓ -47% |
| Beacon | Managed Medicaid | $12.06 | ↓ -47% |
| Fidelis | Child Health Plus | $12.06 | ↓ -47% |
| Fidelis | Family Health Plus/Medicaid | $12.06 | ↓ -47% |
| Molina Healthcare of NY | CHIP (For Kids)/Medicaid | $12.06 | ↓ -47% |
| Humana | Medicare | $12.32 | ↓ -46% |
| Beacon | Medicare Advantage | $12.32 | ↓ -46% |
| UPMC Health Plan | Managed Medicare | $12.32 | ↓ -46% |
| United Healthcare | Medicare | $12.32 | ↓ -46% |
| UNITED BEHAVIORAL HEALTH | MEDICARE | $12.32 | ↓ -46% |
| Fidelis | Medicare | $12.32 | ↓ -46% |
| Geisinger | Medicaid/CHIP | $12.32 | ↓ -46% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $12.57 | ↓ -45% |
| Univera | CHIP (For Kids)/HARP/NY Medicaid | $12.66 | ↓ -44% |
| Wellcare | Medicare | $12.69 | ↓ -44% |
| Aetna | Medicare | $12.81 | ↓ -44% |
| BCBS of Western NY | Essential Plans 1&2 | $14.47 | ↓ -37% |
| Beacon | Commercial | $15.40 | ↓ -32% |
| CORVEL | WC | $16.28 | ↓ -29% |
| BCBS of Western NY | Medicaid | $20.01 | ↓ -12% |
| UPMC Health Plan | Commercial | $22.80 | ↑ +0% |
| United Healthcare | Commercial | $24.32 | ↑ +7% |
| Aetna | Commercial | $24.70 | ↑ +8% |
| Fidelis | Essential Plan | $27.14 | ↑ +19% |
| Molina Healthcare of NY | Essential Plan | $27.14 | ↑ +19% |
| Humana | Commercial | $28.50 | ↑ +25% |
| MagnaCare | Direct Plus | $28.50 | ↑ +25% |
| MagnaCare | No Fault | $28.50 | ↑ +25% |
| MagnaCare | PPO | $28.50 | ↑ +25% |
| MagnaCare | Workers Compensation | $28.50 | ↑ +25% |
| Multiplan | PPO (Includes PHCS as a Payer) | $28.50 | ↑ +25% |
| GHI/Emblem Health | Commercial | $30.40 | ↑ +33% |
| BCBS of Western NY | Commercial | $30.90 | ↑ +36% |
| Statewide Independent PPO | PPO | $33.44 | ↑ +47% |
| Affordable First Health | PPO | $34.20 | ↑ +50% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Injection, inclisiran, 1 mg at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| NewYork-Presbyterian Hudson Valley Hospital | Cortlandt Manor | $7,889.98 | $11.73 – $2,093.50 |
| NewYork-Presbyterian Queens | Flushing | $7,889.98 | $11.73 – $2,093.80 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York | $7,889.98 | $11.73 – $1,596.85 |